Couch, Jill Kristen
Couch, Jill Kristen is an individual health care provider with primary practice located at 100 15Th St Nw Ste 307 , Norton VA 24273-1616. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Couch, Jill Kristen can be contacted via phone (276) 679-9002.Contact Information
Primary practice address
100 15Th St Nw Ste 307
Norton VA 24273-1616
Phone: (276) 679-9002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0102201652 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0102201652 | Virginia |
Profile Details
| NPI number | 1972561702 |
|---|---|
| LBN Legal business name | Couch, Jill Kristen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Aug 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972561702 | NPPES |
| Tennessee | MEDICAID | Q024040 | |
| Tennessee | MEDICAID | 1972561702 |
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